Provider Demographics
NPI:1245860006
Name:BEHM, DONALD ANTHONY (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:ANTHONY
Last Name:BEHM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SCOTT FARMS BLVD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-7069
Mailing Address - Country:US
Mailing Address - Phone:937-642-2333
Mailing Address - Fax:937-642-2698
Practice Address - Street 1:6329 PULLMAN DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7398
Practice Address - Country:US
Practice Address - Phone:740-410-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor